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Christophe Ginestier, Suling Liu, Mark E. Diebel, Hasan Korkaya, Ming Luo, Marty Brown, Julien Wicinski, Olivier Cabaud, Emmanuelle Charafe-Jauffret, Daniel Birnbaum, Jun-Lin Guan, Gabriela Dontu, Max S. Wicha
Published in Volume 120, Issue 2
J Clin Invest. 2010; 120(2):485–497 doi:10.1172/JCI39397
Abstract | Full text | PDF | Supplemental material
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Figure 6
IL-8/CXCR1 signaling in CSCs treated with chemotherapy alone or in combination with repertaxin.

(A) Potential IL-8/CXCR1 cell signaling in CSCs. CXCR1 activation upon IL-8 binding induces FAK phosphorylation. Active FAK phosphorylates AKT and activates the WNT pathway, which regulates stem cell self-renewal and FOXO3A that regulates cell survival. Activation of FAK protects CSCs from a FASL/FAS-mediated bystander effect by inhibiting FADD, a downstream effector of FAS signaling. In the presence of chemotherapy, only the bulk tumor cells are sensitive to the treatment and release a high level of IL-8 and FASL proteins during the apoptotic process. Breast CSCs are stimulated via an IL-8–mediated bystander effect and are resistant to the bystander killing effect mediated by FASL. TCF, T cell factor. (B) Repertaxin treatment blocks IL-8/CXCR1 signaling and inhibits breast CSC self-renewal and survival. When repertaxin treatment is combined with chemotherapy, the CSCs are sensitized to the bystander killing effect mediated by FASL.